Chris Morgan, FACHE VP of Clinical Integration

Update

WCP Update Agenda

• Review of Clinical Integration • Why start a Clinical Integration Entity? • Who is helping to create WCP • WCP Guiding Principles • Stages of WCP Development • WCP Status Update • Value of participating in WCP

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To qualify as clinically integrated organization, the following conditions must exist: 1. a network of physicians willing to

demonstrate “a high degree of interdependence and cooperation,” through

2. a program of initiatives designed to “control costs and ensure quality,” which

3. is supported by an infrastructure that allows the physicians to “evaluate and modify practice patterns.”

What is Clinical Integration?

Clinical Integration Concept

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Why start a CLIO? Patients, Employers and Payors all want

Value Based Care

https://healthcarebluebook.com/#

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• Creates and demonstrates quality and efficiency • Enhances partnerships with physicians on health system

initiatives (core measures, clinical pathways, standardized order sets, etc.,)

• Develops a more collaborative relationship amongst the medical staff

• Differentiate all participants on the basis of quality to position themselves at an advantage in the market

• Creates efficiencies and minimizes redundancy • Coordinates healthcare services and enables improved clinical

outcomes • Positions partners for performance-based payments

Why create WellStar Clinical Partners?

Steering Committee: Arif Aziz, MD

Robert Jansen, MD

Valery Akopov, MD Avril Beckford, MD Chuck Craton, MD Tapan Daftari, MD

James Fisher, MD Waldon Garriss, MD David Hafner, MD Joseph Havlik, MD

Mohsin Hisamud-Din, MD Barry Mangel, MD Alan Muster, MD Mitzi Rubin, MD

Pam Weigandt, MD Kevin Windom, MD Alan Zuckerman, MD

David Anderson Jim Budzinski Jon Morris, MD Leo Reichert

Candice Saunders Barbara Corey Chris Morgan

TASK FORCE MEMBERS

Perry Busbee, MD

Chuck Craton, MD

William Cooper, MD

Tapan Daftari, MD

Anish Desai, MD

David Hafner, MD

Yosef Hindi, MD

Mohsin Hisamud-Din, MD

Matthew Jaffee, MD

Steve Odom, MD

Hitendra Patel, MD

Jeffrey Tharp, MD

Joel Wachs, MD

Alan Zuckerman, MD

ADVISORS Adam Thompson Rick Siegel Chris Morgan

TASK FORCE MEMBERS

Valery Akopov, MD

Mark Diehl, MD

James Fisher, MD

Barry Mangel, MD

Alan Muster, MD

S Gig Oweida, MD

Kevin Windom, MD

Alan Zuckerman, MD

ADVISORS

David Anderson

Jim Budzinski

Barbara Corey

Leo Reichert

Candice Saunders

Jerry Bell (External Counsel)

Chris Morgan

TASK FORCE MEMBERS

Scott Early, MD

Hindia Tahir, MD

Bill Mayfield, MD

ADVISORS

Jim Francis

Kristyn Greifer, MD

Tom McNamara, DO,MMM

Brad Newton

Ashok Venkatachalam

Chris Morgan

TASK FORCE MEMBERS

Mike Andrews, MD

Waldon Garriss, MD

Janet Memark, MD

Vijay Nath, MD

Chirag Patel, MD

Scott Reynolds, MD

Jose Rodriguez-Torres, MD

Mitzi Rubin, MD

Jeffrey Stone, MD

Ramprasad Subramaniam, MD

ADVISORS Brian Busbee Peter Jungblut, MD Isata King Ashley Lovett Kamela Sooknanan Chris Morgan

Operating Model Task Force: Arif Aziz, MD

Robert Jansen, MD

Informatics Task Force: Sachin Goel, MD Jon Morris, MD

Population Health Task Force: Joseph Havlik, MD Kristyn Greifer, MD

Quality Task Force: James Fisher, MD

Bob Lubitz, MD, MPH

COMMITTEE MEMBERS ADVISORS

WCP Steering Committee & Task Force Membership

TASK FORCE MEMBERS

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To deliver world-class healthcare to patients through outstanding physician leadership, innovation and quality outcomes

To optimize the well being of the communities we serve through improved quality care and collaborative health management to maximize value for the patient

To be accomplished through our physician-led, clinically integrated organization

Mission Statement

Vision Statement

The WellStar CLIO Will…

• Be patient-centric and population/community focused

• Be physician-led • Bring value to all key stakeholders: patients,

physicians, purchasers, and the health system • Be structured to enable affiliated physicians to

remain independent, and all physicians to be successful

• Be guided by the principles of fairness and transparency

• Include payor contracting to appropriately align incentives for quality and efficiency

• Accept a level of financial risk appropriate to our capabilities to effectively manage care

• Be transformational • Measure success by improvement in metrics

reflecting the continuum of care • Leverage existing assets and infrastructure

wherever possible

CLIO Guiding Principles

Stages of WCP Development

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• Temporary, short-term structure • Designed for early-stage

decisions • Board & governance • Investment (IT) • Timeline critical (quality

metrics)

• Appointed fiduciary board and officers

• Structure, authority & accountability for key strategic, operational & business decisions

• Chartered Committees • Parliamentary Rules

Kick Off Stage 1 Stage 2

Operating Model Task Force

1

Informatics Task Force

2

Quality Task Force

3

Population Health Task

Force

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Governance

1

2

Network Development

3

Population Health

4

Finance & Contracting

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WCP Project Steering Committee

WCP Board

Project Charter PMO Structure Project Steering Committee Established Task Forces

Quality

Project Dashboard

Team Summary

Operating Model

• Initial draft of operating agreement complete • Steering committee and health system representatives finalizing health system

reserved board powers and contracting roles and responsibilities for WCP &ACO • Plan to formally activate company and seat board in November 2014 • Development and review of business model in process

Informatics

• Selected recommended IT vendor for quality data aggregation • Developing detailed IT implementation plan • Creating IT & data access policy to govern the collection of data from affiliate

physician practices

Quality Metrics • List of 95 proposed quality metrics for year 1 selected • Working with informatics task force to specifically define metrics and evaluate

operational feasibility of collection

Population Health

• Identifying stakeholders and continuing development of detailed project plans for implementation of initial PHM initiatives

• Working to optimize care management interventions for existing managed populations

Communications • Initial marketing collaterals developed; • WCP website landing page and informational videos in process • Planning enrollment process.

WCP Status Update

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• Locally developed best practices for patient care leading to improved quality and efficiency

• Physician-led and governed organization

• Health system organizational and financial support

• Collective single-signature contracting to support improvements in quality and efficiency

• Enhanced coordination/communication among physicians and WellStar

• Access to analytical tools such as patient risk identification and Care Management

• Assistance with meaningful use

• Increased capabilities for managing quality and cost of care

Value of joining WCP

WCP Vision:

To deliver world-class healthcare to patients through outstanding

physician leadership, innovation and quality outcomes.

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